Arumugam Mageshwaran Thandalam, Nesamani Ravikumar, Kittappa Karthikeyan, Sanjeev Kavitha, Sekar Mahalaxmi
Department of Conservative Dentistry, SRM Dental College, Ramapuram, Chennai, India.
J Conserv Dent. 2014 Jan;17(1):22-6. doi: 10.4103/0972-0707.124113.
The aim of this in vitro study was to evaluate and compare the effect of 10% sodium ascorbate, 6.5% proanthocyanidin, and 5% lycopene on the bond strength of composite resin to bleached enamel.
Labial enamel surfaces of 100 extracted human maxillary central incisors were used in this study. Twenty teeth served as group I (control) and received no bleaching treatment. The remaining 80 teeth were randomly divided into four groups of 20 teeth each, based on the antioxidant used as follows: group II- bleaching with 35% carbamide peroxide gel for 30 min without the use of an antioxidant, group III- bleaching followed by use of 10% sodium ascorbate solution, group IV- bleaching followed by use of 6.5% proanthocyanidin, and group V- bleaching followed by use of 5% lycopene. These groups were further subdivided into two subgroups of 10 teeth each, based on whether composite buildup was done immediately (subgroup A) or after a delay of 2 weeks (subgroup B) post bleaching. Shear bond strength of the specimens was tested under universal testing machine. The data were tabulated and statistically analyzed.
Significantly higher shear bond strength values were observed in teeth treated with control group prior to bonding, followed by sodium ascorbate group.
Within the limitations of this study, it can be concluded all the antioxidants used in this study increased the bond strength of bleached enamel. Among the antioxidant groups, sodium ascorbate showed significantly higher bond strength compared to proanthocyanidin and lycopene.
本体外研究的目的是评估和比较10%抗坏血酸钠、6.5%原花青素和5%番茄红素对复合树脂与漂白釉质粘结强度的影响。
本研究使用了100颗拔除的人类上颌中切牙的唇面釉质表面。20颗牙齿作为第一组(对照组),未接受漂白处理。其余80颗牙齿根据所使用的抗氧化剂随机分为四组,每组20颗牙齿,如下所示:第二组 - 用35%过氧化脲凝胶漂白30分钟,不使用抗氧化剂;第三组 - 漂白后使用10%抗坏血酸钠溶液;第四组 - 漂白后使用6.5%原花青素;第五组 - 漂白后使用5%番茄红素。根据复合树脂堆积是在漂白后立即进行(A亚组)还是延迟2周后进行(B亚组),这些组进一步细分为两个亚组,每组10颗牙齿。在万能试验机下测试标本的剪切粘结强度。将数据制成表格并进行统计分析。
在粘结前,对照组处理的牙齿中观察到显著更高的剪切粘结强度值,其次是抗坏血酸钠组。
在本研究的局限性内,可以得出结论,本研究中使用的所有抗氧化剂均提高了漂白釉质的粘结强度。在抗氧化剂组中,抗坏血酸钠的粘结强度显著高于原花青素和番茄红素。